Table 2.
Case Study of DEHP materials in Metropolitan NICU (2005–2006)
| Product name-used in NICU | Manufacturer | Product no. | Type of product materiala | Alternative product availableb |
|---|---|---|---|---|
| 1. Enteral feeding tubes (SETS) | ||||
| Enteral feeding tube for incubators | Vygon, Montgomeryville, PA, USA | Ref. 312.06 | PVC (with DEHP) (durability: 3–5 days)c | PUR or Silicone (durability: 30 days) |
| 36″ Enteral extension set | Philips Children Medical Venture, Monroeville, PA, USA | 95017-E | DEHP-free PVC | Also available with PUR |
| 2. Enteral feeding tubes/accessories | ||||
| Double lumen gastric tube (long-term tube) | Vygon | Ref. 340.10 (10fr-L.90 cm) | PVC (with DEHP) (durability: 3–5 days)c | Polyurethane or silicone (durability: 30 days) |
| ARGYLE Polyvinyl Chloride Feeding Tubes with SENTINEL LINE (16″) | Tyco-Kendall (Covidien), Mansfield, MA, USA | 8888260604 | ARGYLE PVC (with DEHP)c | No available alternative (20″ & 36″ PUR available, 2008) |
| 8 Fr. Pediatric Feeding tube (42″) | CR Bard, Murray Hill. NJ, USA | 0036420 | PVC, latex-freec | No available alternative |
| 3. IV Product | ||||
| BD Insyte-N Autoguard | Becton Dickinson, Franklin Lakes, NJ, USA | Ref. 381411/ | Vialon DEHP-free | N/A |
| IV bag: 10% dextrose injection USP | Baxter, Deerfield, IL, USA | 2B0163 | VIAFLEX (PVC with DEHP)c | No available alternative (polyolefin blend available, 2008) |
| CONTINU-FLO Solution Set with 2 INTERLINK injection sites (for TPN use with lipids) | Baxter | new: 2H6519 | DEHP-free PVC (TETM) | N/A |
| Microbore T-Connector Extension Set with 1 INTERLINK T-connector injection | Baxter | 2N3326 | DEHP-free PVC (TETM) | N/A |
| Tubing –Air eliminating (.2 micron) filter, 7″ minibore extension set | Churchill, Montgomeryville, PA, USA | AMS-427 or 952 | DEHP-free, latex-free | N/A |
| 3-Way Large Bore (lipid resistant) Stopcock | Baxter | 2C6201 | PVC-free (Polysulfone) | N/A |
| Standard Bore Extension Set (30″) | Baxter | 2C5645 | PVC (with DEHP)c | No available alternative (only microbore avail. DEHP-free; TETM) |
| Thoracic Catheter-Argyle/ARGYLE Trocar Catheter 10Fr × 9″ (23 cm) | Tyco–Kendall (Covidien) | 8888561019 | PVC (with DEHP)c | No available alternative |
| Syringe (common): MONOJECT PreFill I.V. Flush Syringes | Kendall REI (Covidien), Mansfield, MA, USA | 8881570300 | PVC-free (Polypropylene; saline filled; latex and preservative free) | N/A |
| 4. Respiratory therapy | ||||
| Infant nasal CPAP Cannula | Hudson RCI, Research Triangle Park, NC, USA | 1695 | PVC (with DEHP)c | No available alternative |
| Portex extra length pediatric tracheostomy tubes (respiratory endotracheal tube) | Smiths Medical North America, Dublin, OH, USA | 555035 | PVC (with DEHP), Latex-freec | Available in silicone |
| 5. Catheters | ||||
| PICC Line (peripherally inserted central catheter) Epicutaneo E-Catheter (30 l cm, volume, ml (0, 12) | Vygon | 24 g (2fr); 2184 (015345) | PVC-free (Silicone) | N/A |
| Umbilical catheter insertion tray (UVC) | Vygon | Order no. 1270.004 | PVC-free (Polyurethane) | N/A |
| UVC-arterial tray | Kendall (Covidien), Mansfield, MA | 160341 | PVC-free (polyurethane) | N/A |
| Neonatal Kit w arterial line (common) | Hospira, Lake Forest, IL, USA | 41-327-CA (similar item #425-86-05) | PVC (with DEHP), latex-freec | Polyethylene-lined IV bags/tubing available |
| 6. Dialysis, Peritoneal | ||||
| Peritoneal dialysis tubing-extended (rare) ‘MiniCap Extended Life PD Transfer Set (6′) | Baxter | 5C4449 | PVC (with DEHP)c | No available alternative |
Abbreviations: DEHP, di(2-ethylhexyl) phthalate; PUR, polyurethane; PVC, polyvinyl chloride; TETM, tri-2-ethylhexyl trimellitate; TPN, total parenteral nutrition; UVC, umbilical vessel catheter.
Information regarding medical product materials was obtained directly from the manufacturer’s website and/or via telephone communication with companies’ sales, medical, and/or regulatory affairs department.
Alternative product availability is restricted to the medical company manufacturing the specific product sampled.
Denotes DEHP products.
In the duration of the case study, the NICU switched from Baxter Interlink system w duo-vent spoke (DEHP) to Non-DEHP CONTINU-FLO Solution Set with with 2 INTERLINK injection sites (for TPN use with lipids).